Treatment of asymmetries in adults and children
Treatment of asymmetries in adults and children
Course overview
What you will learn
TADs and straight-wire technique
Aligners
MEAW technique
Surgical-orthodontic approach
Orthodontic appliances: Quad Helix, McNamar, Marco Rosa appliance, ALT-Ramec, TwinBlock, Frankel function regulator.
The protocols studied during the course cover the issues of treating asymmetries in adults and children.
Course lessons
Lesson 1. Treatment of asymmetries with TADs
CBCT-visualization and TADs: indications for use
Critical analysis and evaluation of results in cases of treatment of asymmetry
Biomechanical aspects of orthognathic surgery
SAPRE concept: indications
Protocols for the treatment of condylar hyperplasia
Indications for orthognathic surgery
Relapses and side effects after surgery: factors
Protocols for the treatment of asymmetry with TADs
Types of occlusal canting and methods of correction
The effect of the intrusion of molars on the maxillary sinus and the inferior alveolar nerve.
Lesson 2. Biomechanics of orthodontic correction of dental asymmetry
Types of asymmetries, diagnosis and treatment planning
Protocols for asymmetry treatment: translation and rotation of individual teeth
Midline correction: biomechanics of applied forces
Cantilevers application protocol
Advantages of using an occlusogram
Occlusal plane cant: causes, diagnosis, principles of treatment
Rhythmic wire system application: protocol
Dental intrusion using TADs: limitations and difficulties
Asymmetries in the transversal plane: diagnosis and treatment protocols
Methods of unilateral expansion of the jaw
Asymmetries in the sagittal plane: tactics when choosing a treatment method
Multi-loop edgewise arch wire technique vs straight arch technique: advantages
MEAW mechanics in the treatment of asymmetry in the transversal plane.
Lesson 3. Facial asymmetry: surgical-orthodontic treatment. Introductory lesson
Diagnostics of asymmetries in three planes of space
Orthodontic preparation for surgical correction of asymmetries: protocol
Planning of surgical treatment
Orthodontic treatment after surgery
Use of TADs in presurgical and postsurgical orthodontics
Protocol of non-surgical treatment of gingival smile
Team approach in the treatment of asymmetries: principles of interaction between a surgeon and an orthodontist
Protocols for the occlusal plane cants treatment.
Lesson 4. Facial asymmetry: surgical-orthodontic treatment
Diagnostics of asymmetries in three planes of space
Orthodontic preparation for surgical correction of asymmetries: protocol
Planning of surgical treatment
Orthodontic treatment after surgery
Use of TADs in presurgical and postsurgical orthodontics
Protocol of non-surgical treatment of gingival smile
Team approach in the treatment of asymmetries: principles of interaction between a surgeon and an orthodontist
Protocols for the occlusal plane cants treatment
Indications for tooth extraction
Surgery First: Indications
Prevention of failures and complications.
Lesson 5. Treatment of the functional asymmetries using orthodontic appliances and TADs
The etiopathogenic factors of morphological and functional mandibular asymmetries
Diagnosis and treatment of asymmetries according to age
Protocol for the treatment of asymmetry with Gummetal
Treatment of functional mandibular deviations secondary to dental or skeletal maxillary compression in Class 1, 2 and 3;
The use of rapid maxillary disjunction devices (McNamara, Marco Rosa, Lantierri)
The treatment of mandibular asymmetries, and even facial ones, combining functional appliances with fixed ones and TADs
Treatment of facial asymmetry with orthognathic surgery
Low friction straight arch technique in the treatment of asymmetry
Articular fossa and mandibular branch: role in the formation of facial asymmetry
How mandibular functional asymmetries can be corrected using simple resin planes
Classification of facial asymmetries
Orthognathic surgery vs functional appliances in the facial asymmetries treatment
Difficulty of teething: tactics.
Lesson 6. Treatment of primary and secondary asymmetries with functional appliances, elastics and aligners
History of orthodontics, orthodontic medical concept and orthodontics of the future
Digital teething control
Multi-technics of orthodontic treatment (DSQ)
Condylar asymmetries with dentoalveolar compensation at the level of occlusion
Asymmetric growths treated with functional dentofacial orthopedics
The use of the Fränkel Function Regulator and other asymmetrical functional appliances in the treatment of different malocclusions
The rational use of intermaxillary elastics to center the midline and correct dentoalveolar mandibular asymmetries
The use of aligners in children for the treatment of functional problems of mandibular asymmetry
10 commandments in the treatment of asymmetry
Teething control.
Lesson 7. Shift jump treatment using aligners
Artificial intelligence and algorithms for the use of modern aligner systems in the treatment of asymmetry
Prediction of the ideal teeth setting: important criteria
Control of predictable and unpredictable movements of teeth
Staging protocol for asymmetrical distalisation
Semi-sequential distalization 50% combined with Frog Staging retraction: protocol
Full sequential dstalization protocol
Sagittal jump vs asymmetrical jump
Features of communication with a technician for the prevention of failures and complications
Tools for extending the mandible
Controlling the simulation of a mandibular lateral displacement.
Lesson 8. Asymmetry treatment: conventional mechanics or orthognatic surgery
Perfect symmetry vs acceptable asymmetry
Evaluation and value of smile aesthetic parameters:
incisors design
proportion and symmetry of the central incisors
proportion among maxillary incisors
trema and diastema
gingival design
gingival exposure
buccal corridors
dental midline
the occlusal plane cant
lip fullness.
Diagnosis of facial asymmetry
Side effects and complications in the elimination of asymmetry
Share clinical cases to treat facial asymmetries with:
simple orthodontic mechanics
advanced orthodontic mechanics – skeletal anchorage
orthognatic surgery.
Lesson 9. Smile asymmetries: step-by-step to diagnosis and treatment
The 10 commandments of smile aesthetics
The occlusal plane cants: surgical and orthodontic treatment
Step-by-step protocol of using ideal smile templates to diagnosis and treat:
dental asymmetries
gingival asymmetries
buccal corridors asymmetries
maxillary occlusal cant.
Principles of positioning braces on teeth
Closure of the trema and diastema.
